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1013085927
KENDRA LEE BOHM
TIGARD, OR
NPI
1013085927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 10828)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
Mrs. KENDRA LEE BOHM LMT
15579 SW 76TH AVE
TIGARD, OR 97224-7980
Phone number: 971-219-6427
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Mailing Address
Mrs. KENDRA LEE BOHM LMT
15579 SW 76TH AVE
TIGARD, OR 97224-7980
Phone number: 971-219-6427
Copy
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